EmailMe Form - Pleasant Experience (International)

Location *

Select One

Date of Visit *
MM / DD / YYYY HH : MM AM/PM
Name *
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone
Email *
mail@example.com
How likely is it that you would recommend us to a friend?

Least likely
1

2

3

4

5

6

7

8

9

10

Most likeley
Why?
How frequently do you visit Fatburger?
First visit
1-2 visits per month
3-5 visits per month
Other
Do you live in the area?
1-2 km
3-4 km
5+ km
No
How did you hear about us?
Word of mouth
Billboard
Social Media
Radio / TV
Digital Advertisement
Driving by
Other
Details about your experience
Customer Service

Worst
1

2

3

4

5

Best
Product Quality

Low
1

2

3

4

5

High
Product Timeliness

Slow
1

2

3

4

5

Fast
Overall Experience
Subject of Feedback *
Message *